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Narcissistic Temptations to Cross Boundaries and How to Manage Them
Stanley J. Coen
390 West End Avenue 1H New York, NY 10024-200, sjcoenmd{at}aol.com, Columbia University Center for Psychoanalytic Training and Research, College of Physicians and Surgeons, Columbia University
The narcissism of analysts is considered here from the perspective of the narcissistic temptations of boundary crossing. The literature on boundary crossing in psychoanalysis has focused minimally on the more ordinary, nonsexual temptations analysts face with their patients. Narcissistic temptations with particularly impressive patients are explored. What analysts find impressive in their patients depends both on what patients bring and on what analysts need. This paper aims to heighten analysts' awareness of their narcissistic needs in treating patients who tempt them too much. The goal is for analysts to be able to catch and then examine their narcissistic excitement with such patients in order to avoid compromising the treatment. Danger signs and ways of managing the problems they point toward are presented.
References
- Abend, S. (1982). Serious illness in the analyst: countertransference considerations. Journal of the American Psychoanalytic Association 30:365-379.[Web of Science][Medline]
[Order article via Infotrieve]
- Aberbach, D. (1995). Charisma and attachment theory: A crossdisciplinary interpretation. International Journal of Psychoanalysis 76:845-855.[Medline]
[Order article via Infotrieve]
- Berman, J. (1985). The Talking Cure. New York: NYU Press.
- — (2001). Book review of Tales from the Couch: Writers on Therapy. Psychoanalytic Psychology 18:743-755.[CrossRef][Web of Science]
- Bloland, S.E. (2000). Bill Clinton and John F. Kennedy: The dark side of charisma. Psychoanaytic Dialogues 10:285-289.[CrossRef]
- Coen, S.J. (1981). Sexualization as a predominant mode of defense. Journal of the American Psychoanalytic Association 29:893-920.[Web of Science][Medline]
[Order article via Infotrieve]
- — ( 1992). The Misuse of Persons: Analyzing Pathological Dependency. Hillsdale, NJ: Analytic Press.
- — (1998). Perverse defenses in neurotic patients. Journal of the American Psychoanalytic Association 46:1169-1194.[Abstract/Free Full Text]
- — (2000). The wish to regress in patient and analyst. Journal of the American Psychoanalytic Association 48:471-495.[Abstract/Free Full Text]
- — (2003). The thrall of the negative and how to analyze it. Journal of the American Psychoanalytic Association 51:465-489.[Abstract/Free Full Text]
- Dewald, P. (1982). Serious illness in the analyst: Transference, countertransference, and reality responses. Journal of the American Psychoanalytic Association 30:347-363.[Web of Science][Medline]
[Order article via Infotrieve]
- — & Clark, R., EDS. (2001). Ethics Casebook of the American Psychoanalytic Association. New York: American Psychoanalytic Association.
- Farber, S., & Green, M. (1993). Hollywood on the Couch. New York: William Morrow.
- Fenichel, O. (1945). The Psychoanalytic Theory of Neurosis. New York: Norton.
- Finell, J. (1985). Narcissistic problems in analysts. International Journal of Psychoanalysis 66:433-445.
- Fiscalini, J. (1994). Narcissism and coparticipant inquiry: Explorations in contemporary interpersonal psychoanalysis. Contemporary Psychoanalysis 30:747-770.[Web of Science]
- Gabbard, G.O. (1995). The early history of boundary violations in psychoanalysis. Journal of the American Psychoanalytic Association 43:1115-1136.[Web of Science][Medline]
[Order article via Infotrieve]
- — (2000). Disguise or consent: Problems and recommendations concerning the publication and presentation of clinical material. International Journal of Psychoanalysis 81:1071-1086.[CrossRef][Web of Science][Medline]
[Order article via Infotrieve]
- — (2002). Post-termination sexual boundary violations. Psychiatric Clinics of North America 25:593-603.[CrossRef][Web of Science][Medline]
[Order article via Infotrieve]
- — & Lester, E. (1995). Boundaries and Boundary Violations in Psychoanalysis. New York: Basic Books.
- Ghent, E. (1992). Paradox and process. Psychoanalytic Dialogues 2:135-159.
- — (1993). Wish, need, and neediness: Commentary on Shabad's "Resentment, indignation, entitlement." Psychoanalytic Dialogues 3:495-507.
- Gopnik, A. (1998). Man goes to see a doctor. The New Yorker, August 24.
- Gruenberg, P.B. (1995). Nonsexual exploitation of patients: An ethical perspective. Journal of the American Academy of Psychoanalysis 23:425-434.[Medline]
[Order article via Infotrieve]
- Inderbitzin, L.B., & Levy, S.T. (1994). On grist for the mill: External reality as defense. Journal of the American Psychoanalytic Association 42:763-788.[Web of Science][Medline]
[Order article via Infotrieve]
- Kern Berg, O.F. (1975). Borderline Conditions and Pathological Narcissism. New York: Aronson.
- Kirsner, D. (2000). Unfree Associations: Inside Psychoanalytic Institutes. London: Process Press.
- Kleinschmidt, H.J. (1967). The angry act: The role of aggression in creativity. American Imago 24:98-128.[Web of Science][Medline]
[Order article via Infotrieve]
- Knafo, D. (1991). What's in a name? Psychoanalytic considerations in children of famous parents. Psychoanalytic Psychology 8:263-281.
- Kohut, H. (1971). The Analysis of the Self. New York: International Universities Press.
- Laplanche, J., & Pontalis, J.-B. (1967). The Language of Psycho-Analysis, transl. D. Nicholson-Smith. New York: Norton, 1973.
- Lasky, R. (1990). Catastrophic illness in the analyst and the analyst's emotional response to it. International Journal of Psychoanalysis 71:455-473.[Medline]
[Order article via Infotrieve]
- Levine, H.B. (2005). The sins of the fathers: Narcissistic boundaries and the power politics of psychoanalysis. Paper presented to the American Psychoanalytic Association, New York, January.
- Mahony, P.J. (1986). Freud and the Rat Man. New Haven: Yale University Press.
- — (1993). Freud's cases: Are they still valuable today? International Journal of Psychoanalysis 74:1027-1035.[Medline]
[Order article via Infotrieve]
- Moore, B.E., & Fine, B.D., EDS. (1990). Psychoanalytic Terms and Concepts. New Haven: Yale University Press / American Psychoanalytic Association.
- Panel (2006). Sexual boundary violations in analytic work: Three perspectives. Association for Psychoanalytic Medicine, New York, April.
- Pfeffer, A. (1974). The difficulties of the training analysis. International Journal of Psychoanalysis 55:77-83.
- Rothstein, A. (1986). The seduction of money: A brief note on an expression of transference. Psychoanalytic Quarterly 55:296-300.[Web of Science][Medline]
[Order article via Infotrieve]
- Shabad, P. (1993). Resentment, indignation, entitlement: The transformation of unconscious wish into need. Psychoanalytic Dialogues 3:481-494.
- Silver, A.-L. (1982). Resuming the work with a life-threatening illness. Contemporary Psychoanalysis 18:314-326.[Web of Science]
- Spoto, D. (1993). Marilyn Monroe: The Biography. London: Chatto & Windus.
- Wahl, C.W. (1974). Psychoanalysis of the rich, the famous, and the influential. Contemporary Psychoanalysis 10:71-76.[Web of Science]
- Warner, S.L. (1991). Psychoanalytic understanding and treatment of the very rich. Journal of the American Academy of Psychoanalysis 19:578-594.[Web of Science][Medline]
[Order article via Infotrieve]
- — (1994). Freud's analysis of Horace Frink, M.D.: A previously unexplained therapeutic disaster. Journal of the American Academy of Psychoanalysis 22:137-152.[Medline]
[Order article via Infotrieve]
- Weber, M. (1922). The Theory of Social and Economic Organization, transl. R.A. Henderson & T. Parsons. New York: Oxford University Press, 1947.
- Winer, J.A., Jobe, T., & Ferrono, C. (1984). Towards a psychoanalytic theory of the charismatic relationship. Annual of Psychoanalysis 12:155-175.
Journal of the American Psychoanalytic Association, Vol. 55, No. 4,
1169-1190 (2007)
DOI: 10.1177/000306510705500404

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